DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Herendeen, Charles G	DOIID	731881	NAIC NPN	7813247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	2/21/2011	8/31/2014
Inactive	Non Resident	Agent	Life	7/9/2010	8/31/2014
Inactive	Non Resident	Agent	Health	7/9/2010	8/31/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Life	12/27/2010	8/12/2013
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Health	12/27/2010	8/12/2013
Inactive	Lifetime Benefit Solutions, Inc.	574373	Administrator - Not Applicable	3/22/2011	8/12/2013